CPT UMBLICAL HERNIA REPAIR And ICD Codes
CPT Code | CPT Description | ICD -9 Procedure |
49572 | incarcerated or strangulated | 5359 |
49580 | Repair umbilical hernia, under age 5 yea ... | 5359 |
49582 | incarcerated or strangulated | 5359 |
49585 | Repair umbilical hernia, age 5 years or ... | 5349 |
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Unilateral Repair Of Inguinal Hernia, Not Otherwise Specified. 53.00 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 53.01. Other And Open Repair Of Direct Inguinal Hernia. 53.01 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 53.02.
53.953.9 Other hernia repair - ICD-9-CM Vol.
2022 ICD-10-PCS Procedure Code 0WQF0ZZ: Repair Abdominal Wall, Open Approach.
9 for Umbilical hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .
Unspecified abdominal hernia without obstruction or gangrene K46. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K46. 9 became effective on October 1, 2021.
The following CPT codes are used to report hernia repair:49505 – Repair initial inguinal hernia > 5 yrs. ... 49560 – Repair initial incisional or ventral hernia; reducible.49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated.49585 – Repair umbilical hernia, age 5 or older; reducible.More items...•
6 New Laparoscopic Hernia Repair CodesCPTDescription49653Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated49654Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible4 more rows•Apr 12, 2009
During umbilical hernia repair, the surgeon makes a small cut of about 2 to 3cm at the base of the belly button and pushes the fatty lump or loop of bowel back into the tummy. The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them.
Umbilical hernias in children are usually painless. An umbilical hernia occurs when part of your intestine bulges through the opening in your abdominal muscles near your bellybutton (navel). Umbilical hernias are common and typically harmless.
ICD-10 Code for Inguinal hernia- K40- Codify by AAPC.
Placement of mesh (49568) is an add-on code for incisional or ventral hernia repairs, performed via an open approach. The range of codes that CPT® code 49568 may be reported with is 49560—49566. The facility may bill for mesh in other cases, but there is not a separate physician charge.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.
For hernia repair without mesh, Z-No Device is used. For hernia repair with mesh, mesh is considered a device. There are three types of mesh: 1) Most mesh is made of synthetic materials such as polypropylene, polyester, and PTFE; 2) Some mesh is bioengineered from donated human tissue, such as from cadavers, and; 3) Some mesh is bioengineered from animal tissue such as bovine and porcine tissue (eg, PermacolTM Surgical Implant). Although there are three types of mesh, there are currently only two options for the device value. Synthetic meshes use J-Synthetic Substitute. Meshes made of either human and animal tissues currently use K-Nonautologous Tissue.5
In general, abdominal wall repair uses the same coding principles and the same code values as hernia repair. An abdominal wall repair is differentiated from a hernia repair by the ICD-10-CM diagnosis codes, not necessarily by the ICD-10-PCS procedure codes.
There are no CCI Edits between these two codes. However -- if the physician inserts the needle/port through the umbilical defect then the repair is considered part of the 47563 since they would have to close a port site for a laparoscopic surgery anyway.
According to CCI edits, If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not separately reportable.
They inserted the needle and the port through the umbilical defect so it is part of the inguinal hernia procedure and cannot be billed separately. Not making an additional cut and using the umbilical hernia defect is most likely the best thing for the patient.